Willow Glen Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

WILLOW GLEN CHIROPRACTIC

Practice address

1276 Lincoln Ave Ste 205
San Jose, CA 95125-3008

Phone

(408) 975-9753

NPI assigned

Aug 30, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacklyn Muxen, DCNPI 1720555790

Title

President

Phone

(408) 975-9753

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacklyn Renee Muxen, D.C.

  • Chiropractor
  • San Jose, CA
  • NPI 1720555790
  NPD Authorized official
• Erika Mizuyama

  • Chiropractor
  • San Jose, CA
  • NPI 1255918090
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1215712963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 LINCOLN AVE STE 205",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 LINCOLN AVE STE 205",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253008",
            "telephone_number": "408-975-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW GLEN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "MUXEN",
        "authorized_official_first_name": "JACKLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-975-9753",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marque Willis
• Kathleen Willman
• Jennifer Willmes
• Carol Willoughby, R.N.
• Willow Anxiety and Ocd
• Willow Glen Dental Specialists
• Willow Glen High
• Willow Glen Medical Foundation
• Willow Glen Middle School
• Willow Glen Optm Physical Therapy

• Chiropractor in San Jose, CA
• Providers in San Jose, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.